Evidence map›Paper›PMID 27585603›Full record

ArticleBMC medical education2016

Private or salaried practice: how do young general practitioners make their career choice? A qualitative study.

Shérazade Kinouani, Gary Boukhors, Baptiste Luaces, William Durieux, Jean-Sébastien Cadwallader, Isabelle Aubin-Auger, Bernard Gay

Abstract read
In one paragraph

Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Burnout in French General Practitioners: A Nationwide Prospective Study.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shérazade KinouaniUniv. Bordeaux, UMR1219, F-33000, Bordeaux, France. sherazade.kinouani@u-bordeaux.fr.ORCID http://orcid.org/0000-0003-2921-008X
Gary BoukhorsDepartment of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
Baptiste LuacesDepartment of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
William DurieuxDepartment of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
Jean-Sébastien CadwalladerDepartment of General Practice, Sorbonne Universités, UPMC Univ Paris 06, School of Medicine, F-75012, Paris, France.
Isabelle Aubin-AugerDepartment of General Practice, Sorbonne Paris Cité, Univ Paris Diderot, F-75018, Paris, France.
Bernard GayDepartment of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYoung French postgraduates in general practice increasingly prefer salaried practice to private practice in spite of the financial incentives offered by the French government or local communities to encourage the latter. This study aimed to explore the determinants of choice between private or salaried practice among young general practitioners.

methodsA qualitative study was conducted in the South West of France. Semi-structured interviews of young general practitioners were audio-recorded until data saturation. Recordings were transcribed and then analyzed according to Grounded Theory by three researchers working independently.

resultsSixteen general practitioners participated in this study. For salaried and private doctors, the main factors governing their choice were occupational factors: working conditions, need of varied scope of practice, quality of the doctor-patient relationship or career flexibility. Other factors such as postgraduate training, having worked as a locum or self-interest were also determining. Young general practitioners all expected a work-life balance. The fee-for-service scheme or home visits may have discouraged young general practitioners from choosing private practice.

conclusionsNational health policies should increase the attractiveness of ambulatory general practice by promoting the diversification of modes of remuneration and encouraging the organization of group exercises in multidisciplinary medical homes and community health centers.

Indexed as

Attitude of Health PersonnelCareer ChoiceGeneral PracticePrivate PracticeFranceGeneral PractitionersHumansMotivationPhysician-Patient RelationsQualitative ResearchCareer choiceFee for serviceGeneral practitionersMedical educationPrimary health careProfessional practice locationQualitative researchSalary

Identifiers

PMID27585603
PMCPMC5009635

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.